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General NPI Number Information
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NPI Number | 1376789057
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Entity Type | Organization
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Legal Business Name | STEPHEN D GLASS DDS PLLC
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Dates
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Enumeration Date | 12/30/2008
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 7000 LOUETTA RD SUITE A
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City | SPRING
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State | TX
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Zip | 77379-7456
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Country | US
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Telephone | 281-376-1214
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Fax | 281-257-2704
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Provider Business Mailing Address
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Address Line | 7000 LOUETTA RD SUITE A
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City | SPRING
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State | TX
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Zip | 77379-7456
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Country | US
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Telephone | 281-376-1214
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Fax | 281-257-2704
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN D GLASS
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Credential | DDS
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Telephone | 281-376-1214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 19852
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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